03-100042ON
City of Federal Way
Commmity Development Services Mechanical Permit #:03 -100042 - 00 - ME
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: KRAGH
Project Address: 28903 8TH�S Parcel Number: 515292 0180
Project Description: Changeout gas hot water heater in existing residence.
Owner
Applicant
Contractor
Loren Kragh
FAST WATER HEATER COMPANY
FAST WATER HEATER COMPANY
28903 8TH AVE S
12601 132ND AVE NE
12601 132ND AVE NE
FEDERAL WAY WA 98003-3702
KIRKLAND WA 98034
KIRKLAND WA 98034
(425)814-8381
Mechanical Valuation..........................................449
Over the Counter Permit ...................................... Yes
PERMIT EXPIRES July 1, 2003, IF NO WORK IS STARTED.
Permit issued on January 2, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Vee Application
Date: V1 - O Z - D
I»�
RECEIVED BY
r0W1 ,IINl N DF"/F[ OPM-N DEPARTMENT
E
CATION NUMBERL02 3 —/ v v o '-/? civAPPLI
CATION NUMBER
'
"The fol441h6 9 r"3nformation - Please print (in ink) or type** .
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY ••
SITE ADDRESS: 28903 8TH AVE S, FEDERAL WAY, WA 98003
ASSESSOR'S TWPARCEL #: 5152920180
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ 04MEERM ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Remove/Replace Gas Water Heater
PROJECT NAME: KRAGH, LOREN
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
017192
NAME:KRAGH, LOREN DAYTIME PHONE:
_ (253)946-3653
MAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):
28903 8TH AVE S FEDERAL WAY, WA 98003
NAME:
DAYTIME PHONE:
FAST WATER HEATER COMPANY
(425)814-3124
MAILING ADDRESS (STREET ADDRESS, CITY, STATE. ZIP):
EVENING PHONE:
12601 132ND AVE NE
KIRKLAND WA 98034
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
19-87000047-00-bi
425 814-9516
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) FASTVMC052DF
02/16/2003
NAME:
DAYTIME PHONE:
IMAILING ADDRESS (STREET ADDRESS, CITY, STATE, ZIP):I EVENING PHONE: I
<Street> <City> <Zip>
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT L
ER
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT M CONTRACTOR
INFORMATION0 DETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS $ $449.00
• SPRINKLED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA E3 PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑HIGHLINE ❑ PRIVATE (SEPTIC)
RAO -7/6
**NEWV RESIDENTIAL CONSTRUCTIC+N ONLY**
4k
NUMBER OF BEDROOMS ESTIMATED SELLING PRICE:
FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE•
LOTSIZE:
ZONING DESIGNATION:
0
FIRST
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTIDN TOWNSHIP RANGE
NEW ADDRESS REQUIRED_
YES ❑ NO ❑
0
SECOND
EM
0
THIRD
0
FOURTH
0
OTHER FLOORS (DESCRIBE)
0
DECK
0
GARAGE
HOW MANY FLOORS?
0
TOTAL:
0
0
0
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
FIXTURES
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOODS) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC. ( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ G AS
PLUMBING
BATHTUBS) LAVATORY(S)
DISHWASHER(S) RAIN WATER SYS.
DRINKING FOUNTAINS) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTORS) SUMP(S)
DISCLAIMER/ SIGNATURE BSC
URINAL(S) I WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC 6 GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC.
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge,and
urther, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
�urther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fee incurred in the
nvestigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of
'ederaI Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
)f the Information suoolied to the city a a part of this application.
NAME/TITLE. '�yr'Permit Mgr DATE: 12/31/2002
❑ PROPERLY OWNER ❑ APPLICANT $] CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION
❑ ALTERATION ❑ REPAIR
❑ TENANTIMPROVEMENT
CENSUS CODE•
LOTSIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY_
❑ YES ❑ N:)
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES
ENO
SECTIDN TOWNSHIP RANGE
NEW ADDRESS REQUIRED_
YES ❑ NO ❑
PLATTED LOT? ❑ YES ❑ ND
I CHANGE OF USE_ ❑ YES
EM